NPI | 1053354472 |
---|---|
Former Name | CYNTHIA H PAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.008793) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF13702) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2013-08-18 |