| NPI | 1417238924 |
|---|---|
| Former Name | KRISTIN A CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A003585) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A03585) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2021-12-28 |