| NPI | 1649898941 |
|---|---|
| Former Name | REBA D CORLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11015315) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 214177) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2022-02-08 |