| NPI | 1952710477 |
|---|---|
| Former Name | CORIE MICHELLE FIELDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 069792-21) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |