| NPI | 1861825960 |
|---|---|
| Former Name | JU YUN KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 23476) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 23476) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2023-11-17 |