NPI | 1194112946 |
---|---|
Other Name | TAMMI COOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61197743) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2018013806) |
Enumeration Date | 2015-04-20 |
Last Update Date | 2023-09-27 |