| NPI | 1861879942 |
|---|---|
| Former Name | NICOLETTE J CLIFFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015005435) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 76746) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2019-05-22 |