| NPI | 1972807436 |
|---|---|
| Former Name | JULIE CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 606093-23) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D-126831) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2018-09-11 |