| NPI | 1336829431 |
|---|---|
| Former Name | SUNYANG PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209030033) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MO 2016006196) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2024-09-06 |