NPI | 1285600445 |
---|---|
Former Name | RACHEL E CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 25247) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-104767) |
207P00000X Emergency Medicine (Licence: GA 058949) | |
Enumeration Date | 2006-02-27 |
Last Update Date | 2017-04-05 |