| NPI | 1093871220 |
|---|---|
| Former Name | THERESA L. CORBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6128) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 146779-030) |
| 163WH0200X Registered Nurse, Home Health (Licence: WI 146779-030) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 6128-33) | |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2022-02-16 |