| 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 |