| NPI | 1720618374 |
|---|---|
| Former Name | DENISE LYNN CLEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 1900) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AZ 1900) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |