| NPI | 1013268267 |
|---|---|
| Former Name | CORINNE PATRICIA GORMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 457270101) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 598768121) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |