NPI | 1104153055 |
---|---|
Other Name | SHERDINA Q CORRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN303589) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP010546) |
Enumeration Date | 2009-11-13 |
Last Update Date | 2023-11-27 |