NPI | 1942438205 |
---|---|
Former Name | ASHLEY G CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A121634) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OK 27220) |
208000000X Pediatrics (Licence: FL ME113308) | |
208000000X Pediatrics (Licence: HI MD11684) | |
Enumeration Date | 2009-06-25 |
Last Update Date | 2015-03-02 |