| NPI | 1639728876 |
|---|---|
| Other Name | ELISHA PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC18669) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 18669) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2020-08-20 |