NPI | 1144647504 |
---|---|
Former Name | MAUREEN CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OK 0089741) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: OK 0089741) |
Enumeration Date | 2014-03-24 |
Last Update Date | 2014-03-24 |