| NPI | 1760712897 |
|---|---|
| Former Name | JANICE FLAGET CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3006287) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006287) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3006287) | |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2023-07-21 |