| NPI | 1033466545 |
|---|---|
| Former Name | KORI LAINE LATHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.13558) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.13558) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2021-03-02 |