NPI | 1821367384 |
---|---|
Former Name | CHERYLE CLINTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0200X Clinical Nurse Specialist Pediatrics (Licence: IN 71002777A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002777A) |
Enumeration Date | 2011-12-29 |
Last Update Date | 2011-12-29 |