NPI | 1730519547 |
---|---|
Former Name | TERRY LYNN CLIFTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201600036NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 89589) |
363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991008 NP) | |
Enumeration Date | 2013-11-14 |
Last Update Date | 2020-03-24 |