NPI | 1225589864 |
---|---|
Other Name | DO YOUNG PARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004744) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 770838) |
Enumeration Date | 2016-10-19 |
Last Update Date | 2023-07-13 |