| NPI | 1659782662 |
|---|---|
| Former Name | IRENE Y PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 0070-00429) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NC 22456) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2018-07-30 |