NPI | 1265883516 |
---|---|
Former Name | ASHLEY NICOLE COBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2020-01080) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 2020-01080) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2021-12-07 |