NPI | 1306508965 |
---|---|
Former Name | CAMI LYNN COOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA062967) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA005846) |
Enumeration Date | 2021-10-12 |
Last Update Date | 2022-06-22 |