| NPI | 1477194140 |
|---|---|
| Former Name | MONIQUE L MCCLEERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA MM6169622) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 207919) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2023-04-11 |