NPI | 1174752067 |
---|---|
Former Name | LORI A CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.123419) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 35.123419) |
Enumeration Date | 2009-07-13 |
Last Update Date | 2018-09-04 |