| NPI | 1295731180 | 
|---|---|
| Other Name | CORI R OREM | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024166494) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 000166375) | 
| Enumeration Date | 2005-06-24 | 
| Last Update Date | 2019-01-17 |