| NPI | 1881827129 |
|---|---|
| Former Name | JACQUELINE ANNE MCCLINTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 111074) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 111074) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2022-06-07 |