| 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 |