NPI | 1649998212 |
---|---|
Former Name | JEONG HYUN PARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95021384) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95170170) |
Enumeration Date | 2022-08-18 |
Last Update Date | 2024-09-26 |