| NPI | 1598124604 |
|---|---|
| Former Name | ERIKA CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP134731) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ003619500) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP134731) | |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2020-02-07 |