| NPI | 1770577595 |
|---|---|
| Other Name | JEANNE OH KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 43668) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35083372) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2007-07-08 |