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 |