NPI | 1235413436 |
---|---|
Former Name | CLAYPOOLE THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP9154) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP0624) |
Enumeration Date | 2011-10-06 |
Last Update Date | 2020-11-09 |