NPI | 1104597400 |
---|---|
Former Name | COURTNEY ALEXANDRA COOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC NP1048916) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1048916) |
Enumeration Date | 2021-09-26 |
Last Update Date | 2024-03-11 |