| NPI | 1871463364 |
|---|---|
| Former Name | CLANEGE SAMUEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC008456) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010988) |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2026-02-17 |