| NPI | 1841401338 |
|---|---|
| Former Name | KAREN MICHELLE CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MI 4301089723) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301089723) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2014-02-04 |