NPI | 1598300253 |
---|---|
Former Name | ANNA ELISABETH CLAYTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383294) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN236007) |
Enumeration Date | 2019-11-16 |
Last Update Date | 2023-04-14 |