| NPI | 1174222137 |
|---|---|
| Former Name | NA YEUN PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1046523) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1046523) |
| 163W00000X Registered Nurse (Licence: NY 745806) | |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2025-10-23 |