| NPI | 1124484084 |
|---|---|
| Former Name | MARIE ALEXANDRINE DIONNE-CLAYCOMB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382845) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 706098) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2024-03-13 |