| NPI | 1487028445 |
|---|---|
| Former Name | TINGTING XU PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TN PA2872) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2022-04-06 |