| NPI | 1750484986 |
|---|---|
| Former Name | CHERYL ANN CORSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NY F332253-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 332253) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2016-09-14 |