| NPI | 1164627832 |
|---|---|
| Former Name | NICOLE MARIE COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A106600) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A106600) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2012-02-17 |