NPI | 1427169531 |
---|---|
Former Name | KATHY HEE-WON KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA A85857) |
Additional Taxonomies | 207N00000X Dermatology (Licence: AZ 41753) |
207N00000X Dermatology (Licence: IA 36174) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2015-12-14 |