NPI | 1164671194 |
---|---|
Former Name | MARIANNE CORLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN263434) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 263434) |
Enumeration Date | 2008-09-15 |
Last Update Date | 2023-05-22 |