| NPI | 1205114691 |
|---|---|
| Former Name | CORINNA JEAN ORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP 1839) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R 1536586) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2016-11-15 |