| NPI | 1982798153 |
|---|---|
| Former Name | SOO J KIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP13522) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA RN577920) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-12-19 |