| 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 |