| NPI | 1609184076 |
|---|---|
| Former Name | BRITTANY JO CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: OH RN.414028) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH pn141199) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2023-10-27 |