| NPI | 1164729729 |
|---|---|
| Former Name | CALLY MCKEMIE CLAUSSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP119996) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 716790) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2020-10-27 |