NPI | 1386065092 |
---|---|
Other Name | GENIE KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 13716) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA056549) |
363A00000X Physician Assistant (Licence: WI 3934) | |
363A00000X Physician Assistant (Licence: FL PA9107704) | |
Enumeration Date | 2013-12-23 |
Last Update Date | 2025-05-14 |