| NPI | 1548461221 |
|---|---|
| Former Name | SUSAN S PARK-CHUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP3469) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 583996) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ RN159828/AP3469) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2018-01-24 |