| NPI | 1639833643 |
|---|---|
| Former Name | GRACE SAEROM PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CO PHA.0022335) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |