NPI | 1760973424 |
---|---|
Other Name | AMELIA L MCCLURE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209019285) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28191422A) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71008296A) | |
Enumeration Date | 2018-05-29 |
Last Update Date | 2021-09-10 |