| NPI | 1518344159 |
|---|---|
| Former Name | AMANDA LEIGH CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 316846) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 316846) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2024-02-28 |