| NPI | 1659065290 |
|---|---|
| Former Name | KAREN ANN PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61483923) |
| Additional Taxonomies | 163WN0003X Registered Nurse, Neonatal, Low-Risk (Licence: WA RN000150149) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-10-16 |