| NPI | 1396744322 |
|---|---|
| Former Name | JENNIFER PATRICIA CORLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00134242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006682) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2007-07-08 |