| NPI | 1053741678 |
|---|---|
| Former Name | LEISA CLAYTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 652655) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX AP124532) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2023-07-25 |