| NPI | 1053970558 |
|---|---|
| Former Name | TRINITY CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 277.002315) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 277.002315) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.018941) | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2024-11-18 |