| NPI | 1497378046 |
|---|---|
| Former Name | GRACE K SUK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 1016183) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 69675) |
| 207Q00000X Family Medicine (Licence: MN 30810) | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2024-01-16 |