| NPI | 1568852317 |
|---|---|
| Other Name | SONIA PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61211573) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN219551) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2021-10-14 |