NPI | 1962613174 |
---|---|
Former Name | LIZ P KWON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 258445) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NY 258445) |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NY 258445) | |
Enumeration Date | 2007-05-28 |
Last Update Date | 2020-10-15 |