| NPI | 1063771202 |
|---|---|
| Former Name | EUI PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00788400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337269) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2019-04-05 |