| NPI | 1972709046 |
|---|---|
| Former Name | KAREN ANN CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 3956) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101016468) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2018-06-20 |