| NPI | 1962841536 |
|---|---|
| Former Name | JIEUN KWAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036-150479) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125062638) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2019-08-27 |