| NPI | 1306006887 |
|---|---|
| Former Name | JACQUELINE E COCKRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D79798) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2015-08-25 |