| NPI | 1548338841 |
|---|---|
| Former Name | CHARLOTTE ANN CLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: OR MD 27457) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2013-10-01 |