NPI | 1730582321 |
---|---|
Former Name | SOLJI PARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP61077454) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A18529) |
207R00000X Internal Medicine (Licence: OR DO200478) | |
Enumeration Date | 2014-09-27 |
Last Update Date | 2024-11-11 |