NPI | 1356773964 |
---|---|
Former Name | ALLISON SACHIKO KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0005138) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA056296) |
Enumeration Date | 2013-08-06 |
Last Update Date | 2020-12-22 |