NPI | 1154784015 |
---|---|
Former Name | TAMARA L COOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016265) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1128331) |
163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: KY 1128331) | |
208D00000X General Practice (Licence: KY 3016265) | |
Enumeration Date | 2016-03-29 |
Last Update Date | 2024-06-17 |