NPI | 1104278852 |
---|---|
Former Name | ROBIN HOILE COCKRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 5996) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 5996) |
Enumeration Date | 2016-07-06 |
Last Update Date | 2024-03-19 |