| NPI | 1821492638 |
|---|---|
| Former Name | MELISSA ASHLEY CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NM CNP-02494) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |