| NPI | 1447687884 |
|---|---|
| Other Name | DANIELLE L CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA23271) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA1602) |
| 363A00000X Physician Assistant (Licence: ID PA1215) | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2021-08-13 |