| NPI | 1316659345 |
|---|---|
| Former Name | CHRISTINA CLEMENTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3018763) |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2024-07-15 |