| NPI | 1528267838 |
|---|---|
| Former Name | UNI KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D5520) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D5520) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2013-01-30 |