NPI | 1093080624 |
---|---|
Other Name | KELLY SUE CLAPPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 9453) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00006612) |
363A00000X Physician Assistant (Licence: GA 1099950) | |
Enumeration Date | 2012-03-15 |
Last Update Date | 2023-11-30 |