NPI | 1376101873 |
---|---|
Former Name | CHRISTIE H KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 75142) |
Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: CA 75142) |
1835P2201X Pharmacist, Ambulatory Care (Licence: CA 75142) | |
Enumeration Date | 2019-05-31 |
Last Update Date | 2019-05-31 |