| NPI | 1760979249 |
|---|---|
| Former Name | JACQUELINE M CLAPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP019004) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN650012) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2019-03-02 |