NPI | 1609645316 |
---|---|
Former Name | SYDNEY CORNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 11264) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2467588) |
363LF0000X Nurse Practitioner, Family (Licence: MN 11264) | |
Enumeration Date | 2023-12-21 |
Last Update Date | 2024-03-20 |