NPI | 1881394427 |
---|---|
Former Name | CELESTE ALEXANDRA CLIFTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 229633) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA F07220065) |
Enumeration Date | 2023-03-02 |
Last Update Date | 2024-03-04 |