NPI | 1336775337 |
---|---|
Former Name | TITISHA COCHRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN208809) |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2020-03-21 |
Last Update Date | 2023-11-28 |