NPI | 1801231535 |
---|---|
Former Name | CHONG SON-HI KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024170915) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R183001) |
Enumeration Date | 2013-05-08 |
Last Update Date | 2023-03-13 |