| NPI | 1104261502 |
|---|---|
| Former Name | KATHERINE CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 307117-01) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A162443) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2020-11-13 |