| NPI | 1013531011 |
|---|---|
| Former Name | KAITLIN A CORCORAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA OP61563619) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA R-11872) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2025-11-04 |