| NPI | 1710281019 |
|---|---|
| Former Name | SONYA MARIE MCCLANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61013151) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN143195) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN15461) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA RN61013150) | |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2020-08-18 |