NPI | 1033464441 |
---|---|
Former Name | CORI MEGAN BARBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A158720) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9253387) |
Enumeration Date | 2012-07-23 |
Last Update Date | 2021-05-27 |