NPI | 1558956185 |
---|---|
Former Name | SHERI CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0030159) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH 380023) |
Enumeration Date | 2021-03-05 |
Last Update Date | 2022-01-05 |