| NPI | 1598118572 |
|---|---|
| Other Name | JENNIFER ROSE CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.145559) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD474160) |
| 207R00000X Internal Medicine (Licence: IN 11018950A) | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2024-01-23 |