| NPI | 1952644247 |
|---|---|
| Former Name | KEHVON CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A153485) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 283261) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2018-10-10 |