| NPI | 1073263059 |
|---|---|
| Former Name | CIARA CORBAN CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AL L.5758) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2023-10-09 |