| NPI | 1629231188 |
|---|---|
| Former Name | CLAIRE ELIZABETH JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11014556A) |
| Enumeration Date | 2008-07-04 |
| Last Update Date | 2020-12-23 |