NPI | 1780795021 |
---|---|
Former Name | CLAUDIA BETH MCCLUSKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CA NP5510) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA NP 5510) |
363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA NP 5510) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-25 |