NPI | 1003341819 |
---|---|
Former Name | SARAH ELIZABETH CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WA 61122912) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WI 70736-20) |
208M00000X Hospitalist (Licence: WI 70736-20) | |
Enumeration Date | 2017-04-30 |
Last Update Date | 2022-11-29 |