| NPI | 1295239168 |
|---|---|
| Former Name | ANNEMIEKE CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201805147NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60866557) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2024-08-07 |