| NPI | 1881184067 |
|---|---|
| Former Name | JUDITH LYNN CORRADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3012260) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022476) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2024-01-12 |