| NPI | 1861941650 |
|---|---|
| Former Name | EUNICE K PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MI 5601008320) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MD C0006214) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2023-09-19 |