NPI | 1508008723 |
---|---|
Former Name | BONNIE KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA sp010106) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: PA rn533464) |
Enumeration Date | 2009-04-02 |
Last Update Date | 2018-08-01 |