| NPI | 1538793443 |
|---|---|
| Former Name | CORINNE MARCIA MANSWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 100477) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 185794) |
| Enumeration Date | 2020-02-29 |
| Last Update Date | 2023-07-11 |