NPI | 1518132216 |
---|---|
Former Name | CORI LEE SAVILLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 6267411-4405) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202011098NP-PP) |
Enumeration Date | 2008-04-24 |
Last Update Date | 2024-09-23 |