| NPI | 1447101639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIMERE L CLARK Clinic Director/Managing Member 757-861-9814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2026-02-04 |
| Last Update Date | 2026-02-24 |