| NPI | 1013105501 |
|---|---|
| Former Name | CATHERINE L CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 20835) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30007898) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2018-07-20 |