| NPI | 1467902692 |
|---|---|
| Former Name | ASHLEY B. CORCORAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112135) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A165158) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2024-11-08 |