| NPI | 1417163213 |
|---|---|
| Former Name | CHRISTIE MICHELE CORCORAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 18137) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP37351) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2013-11-19 |