| NPI | 1265184899 |
|---|---|
| Other Name | VICTORIA ALEXANDRIA CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11017713) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: FL 11017713) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2024-01-16 |