| NPI | 1821521261 |
|---|---|
| Former Name | JENNIFER LYN CORBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9238948) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9238948) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2020-04-22 |