NPI | 1942681143 |
---|---|
Former Name | ALESSANDRA CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 007774) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R2518) |
Enumeration Date | 2015-06-12 |
Last Update Date | 2023-09-15 |