| NPI | 1699097154 |
|---|---|
| Former Name | WHITNEY ERIN CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06673) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0005960) | |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2023-02-15 |