| NPI | 1073546974 |
|---|---|
| Former Name | KAMI DICKSON CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 10489) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2090) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-04-30 |