| NPI | 1205120334 |
|---|---|
| Former Name | MARGARET CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TN 65821) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: TX S2778) |
| 208600000X Surgery (Licence: TX S2778) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: WI 76528) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2024-05-13 |