| NPI | 1922496629 |
|---|---|
| Former Name | ELIZABETH KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95007959) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CA CNS4386) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209008158) | |
| Enumeration Date | 2015-01-03 |
| Last Update Date | 2018-08-21 |