NPI | 1821340597 |
---|---|
Former Name | PAMLA CHERRICE CLAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022174) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN160625) |
Enumeration Date | 2012-10-05 |
Last Update Date | 2024-02-27 |