| NPI | 1336821586 |
|---|---|
| Former Name | JULIA ELIZABETH CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ14891600) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ14891600) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-09-27 |