| NPI | 1033834411 |
|---|---|
| Former Name | BAILEE ELIZABETH CORRERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3018554) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1159018) |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2024-09-24 |