| NPI | 1578785879 |
|---|---|
| Former Name | SHARI CLARKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 248308) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MT184351) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2022-06-04 |