NPI | 1730577016 |
---|---|
Professional Name | MARIBETH KATHLEEN COLLARD-CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11036078) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-098071) |
Enumeration Date | 2015-01-08 |
Last Update Date | 2025-01-07 |