| 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 |