| NPI | 1487172524 |
|---|---|
| Former Name | CORINNA MICHELLE EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 12.008313) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2019-09-10 |