| NPI | 1215176573 |
|---|---|
| Former Name | CHRISTINE CHUNGHEE PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0700X (Licence: MI 5101015987) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101015987) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2025-12-16 |