| NPI | 1467856591 |
|---|---|
| Former Name | AYLA LYNN CLEVENGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP014318) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SPS014318) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP014318) | |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2022-08-18 |