| NPI | 1346474392 |
|---|---|
| Former Name | LIISA CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD159506) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD159506) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2022-05-27 |