NPI | 1245698273 |
---|---|
Former Name | COURTNEY COCKERILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101358) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 71050) |
367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209014409) | |
Enumeration Date | 2016-02-04 |
Last Update Date | 2018-10-02 |