NPI | 1992857213 |
---|---|
Former Name | GRACE JEE-YEON KIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD154466) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A87977) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2012-03-20 |