NPI | 1194119818 |
---|---|
Former Name | COREY AMBER BARNHART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R195704) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R195704) |
Enumeration Date | 2015-03-19 |
Last Update Date | 2015-10-20 |