| NPI | 1972870632 |
|---|---|
| Former Name | YUJUNG KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP231329) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP4374) |
| 363LF0000X Nurse Practitioner Family (Licence: OR 10021530) | |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5016863) | |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2024-02-07 |