| NPI | 1336695782 |
|---|---|
| Former Name | NADINE RENE' CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: IN 71006351A) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |