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 |