NPI | 1598331027 |
---|---|
Other Name | CORY BECKHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24764) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC F02211101) |
Enumeration Date | 2021-06-03 |
Last Update Date | 2024-05-08 |