| NPI | 1114934890 |
|---|---|
| Former Name | JISOO PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 238032-1) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2022-04-14 |