NPI | 1154611952 |
---|---|
Former Name | SARAH MICHELLE CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036136635) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01084122A) |
207L00000X Anesthesiology (Licence: CA 122656) | |
Enumeration Date | 2011-04-13 |
Last Update Date | 2022-09-14 |