| NPI | 1033530811 |
|---|---|
| Former Name | SUSAN COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95011940) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5324) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2020-06-19 |