| NPI | 1275930984 |
|---|---|
| Former Name | COLLEEN MARGARET CORCORAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MO 062350) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |