NPI | 1386242162 |
---|---|
Former Name | VALERIE GENE CLAUSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 253661) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 197404) |
Enumeration Date | 2020-10-13 |
Last Update Date | 2024-06-27 |