| NPI | 1356528186 |
|---|---|
| Former Name | MICHELLE LYNN CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD434537) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2020-09-14 |