NPI | 1942649165 |
---|---|
Former Name | CORRIE E O'HARA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F338223) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338223) |
Enumeration Date | 2013-06-20 |
Last Update Date | 2021-02-10 |