| NPI | 1710369129 |
|---|---|
| Former Name | JEAN PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: TX S5106) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2020-04-06 |