| NPI | 1790718070 |
|---|---|
| Professional Name | HEATHER CLARKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NH 0301) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VT 055-0030388) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-07-09 |