NPI | 1295228914 |
---|---|
Former Name | NATALIE CORUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24196) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 28980) |
Enumeration Date | 2018-06-07 |
Last Update Date | 2024-10-01 |