| NPI | 1477153229 |
|---|---|
| Former Name | EVALENEE CLYDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL AA461) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA641) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2021-04-19 |