NPI | 1720274673 |
---|---|
Former Name | DEBRA LYNN KORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL ARNP9192028) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL arnp9192028) |
Enumeration Date | 2007-09-24 |
Last Update Date | 2012-04-06 |