| NPI | 1689314445 |
|---|---|
| Former Name | MARLEEN DIAN PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 9034811-4405) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: UT 9034811-3102) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2023-02-10 |