| NPI | 1750892477 |
|---|---|
| Other Name | CHRISSY KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 347571) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP017955) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ00908500) | |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2021-05-19 |