NPI | 1952644247 |
---|---|
Former Name | KEHVON CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101283050) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 283261) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A153485) | |
Enumeration Date | 2013-04-04 |
Last Update Date | 2024-11-04 |