| NPI | 1558701987 |
|---|---|
| Former Name | MOLLY CHRISTINE CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01080708A) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IN 01080708A) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: AZ R74107) | |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2022-09-15 |