NPI | 1093977217 |
---|---|
Former Name | ANNA ROSE COOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 35733) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 25602) |
207R00000X Internal Medicine (Licence: NE 5817) | |
Enumeration Date | 2008-06-29 |
Last Update Date | 2023-11-27 |