| NPI | 1063967495 |
|---|---|
| Former Name | CORA CHAMBERLAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2122) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003111A) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2021-08-20 |