| NPI | 1568588622 |
|---|---|
| Other Name | JENNIFER KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A104530) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N1711) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2023-03-07 |