| NPI | 1265429690 |
|---|---|
| Former Name | BETH ARLENE COOKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 382-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 382033) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2019-09-16 |