| NPI | 1699316331 |
|---|---|
| Former Name | EILEEN MARIE MCCORVEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN203526) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN203526) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2021-06-16 |