| 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 | 2021-07-22 |