| NPI | 1588666739 |
|---|---|
| Former Name | KAREN CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 038446) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: GA 38446) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: GA 38446) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2013-09-27 |