| NPI | 1851688865 |
|---|---|
| Former Name | DEANNE JANE CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 15898) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 15898) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2023-11-16 |