NPI | 1427204494 |
---|---|
Former Name | EUNICE Y PARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A123137) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036129750) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125054114) | |
Enumeration Date | 2008-08-11 |
Last Update Date | 2022-02-11 |