| NPI | 1184150658 |
|---|---|
| Former Name | PATRICE COBB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2018-03-21 |