| NPI | 1043785470 |
|---|---|
| Former Name | KATELYNN R CLEMENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2018037180) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018037180) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2024-06-03 |