| NPI | 1235694696 |
|---|---|
| Former Name | BRITTANY CLARKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA RN233679) |
| Enumeration Date | 2019-02-09 |
| Last Update Date | 2019-11-07 |