NPI | 1902132152 |
---|---|
Former Name | BLYTHE KATHLEEN CORBIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 19179) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 603869) |
Enumeration Date | 2009-10-22 |
Last Update Date | 2024-05-13 |