| NPI | 1023544145 |
|---|---|
| Former Name | ANN MARIE CLARKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F355962-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 514847-1) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2025-05-29 |