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