| NPI | 1023037710 |
|---|---|
| Former Name | AUDREY ELIZABETH CORSBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP2233) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ AP2233) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-12-14 |