NPI | 1437764545 |
---|---|
Former Name | ALISON CLEMENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309650) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ NJDCATEMP-02792) |
Enumeration Date | 2020-09-15 |
Last Update Date | 2020-09-15 |