| NPI | 1265841209 |
|---|---|
| Former Name | MONEAH SAMANTHA CLEMMINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP017568) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306978-1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00507700) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00507700) | |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2020-09-29 |