| NPI | 1922432129 |
|---|---|
| Former Name | JENNIFER KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 23473) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 23473) |
| Enumeration Date | 2013-08-25 |
| Last Update Date | 2024-01-18 |