NPI | 1326054941 |
---|---|
Former Name | KATHRYN EVANS CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101263968) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101263968) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2020-04-25 |