| NPI | 1679614762 |
|---|---|
| Former Name | KATHLEEN KANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 30181) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A86527) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-08-19 |