| 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 |