| NPI | 1790167757 |
|---|---|
| Former Name | KATHERINE KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ID O-1915) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101021794) |
| 208600000X Surgery (Licence: OR DO218105) | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2024-01-09 |