NPI | 1154071363 |
---|---|
Former Name | CHRISITNE JANELL COBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11017583) |
Enumeration Date | 2022-03-29 |
Last Update Date | 2023-10-25 |