NPI | 1578581021 |
---|---|
Former Name | CORINNE REBECCA PRESTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO NP990009) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NPF15727) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2024-10-01 |