NPI | 1205076403 |
---|---|
Former Name | LORI WILLIAMS CLAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP61412596) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA AP05721) |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AR 216424) | |
Enumeration Date | 2009-02-27 |
Last Update Date | 2023-03-28 |