| 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 |