| NPI | 1699385690 |
|---|---|
| Former Name | COREY LYNN MATTHEWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026442) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016108) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2021-06-10 |