| NPI | 1588862684 |
|---|---|
| Former Name | PATRICIA J CLARK-CAPO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 129907) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2011-00794) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2020-01-21 |