| NPI | 1790829224 |
|---|---|
| Professional Name | ROZELLA REBECCA CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004163) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 5221) |
| 363A00000X Physician Assistant (Licence: NV PA1380) | |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2015-11-19 |