| NPI | 1891920682 |
|---|---|
| Professional Name | CHARLOTTE MARIA-CARLOTTA CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 286912) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2018-04-30 |