| NPI | 1538450820 |
|---|---|
| Former Name | ADRIENNE NICOLE CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD449555) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD449555) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2022-02-09 |