NPI | 1427223221 |
---|---|
Former Name | NICOLE KRISTIN CLINARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9210776) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN9210776) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9210776) | |
Enumeration Date | 2008-04-23 |
Last Update Date | 2023-05-12 |