| NPI | 1740784388 |
|---|---|
| Other Name | GRACE PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NJ 25MA12141800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A165206) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2024-06-12 |