NPI | 1861523433 |
---|---|
Former Name | GINA KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 7945) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TN 8119) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2024-12-03 |