| 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 | 2018-02-14 |