| NPI | 1033797865 |
|---|---|
| Former Name | JENNIFER HYEWON PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA OP61617215) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2025-08-06 |