| NPI | 1780132456 |
|---|---|
| Former Name | NOVA CLAWSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95171572) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: WA RN60656273) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2021-10-04 |