| NPI | 1770991051 |
|---|---|
| Former Name | CORI WINIFRED SINNOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA064113) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126002156) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA064113) | |
| 363AS0400X Physician Assistant, Surgical (Licence: PA MA064113) | |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2022-11-28 |