NPI | 1144581166 |
---|---|
Former Name | LAUREN COCHRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704359791) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704359791) |
Enumeration Date | 2012-06-06 |
Last Update Date | 2024-03-26 |