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 |