| NPI | 1891551800 |
|---|---|
| Other Name | LYDIA K PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.507872) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL o41.507872) |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |