| NPI | 1154875797 |
|---|---|
| Former Name | CORI ARENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3010377) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3010377) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2023-12-07 |