| NPI | 1205079407 |
|---|---|
| Former Name | JANE HEE PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME124323) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MD D73945) |
| 208000000X Pediatrics (Licence: CA A130695) | |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2015-09-21 |