| NPI | 1003532300 |
|---|---|
| Former Name | DAWN ANNETTE COCKRUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 210689) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0089376) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2023-07-27 |