| NPI | 1194132522 |
|---|---|
| Former Name | CORIE CLARKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 082595-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 082595-21) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2023-11-27 |