NPI | 1912012196 |
---|---|
Former Name | KAME CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 0446) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NH 0446) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2024-03-06 |