| 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 |