NPI | 1245386762 |
---|---|
Former Name | CORINNE ROSE HANCOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003876) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK R0074165) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2023-03-07 |