NPI | 1902036361 |
---|---|
Former Name | TAYLOR K CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M11528) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: ID M11528) |
Enumeration Date | 2009-07-20 |
Last Update Date | 2012-12-29 |