| NPI | 1548699267 |
|---|---|
| Former Name | JENNIFER MARIE COREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 170579-030) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 33-7932) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2021-06-03 |