NPI | 1346729837 |
---|---|
Former Name | KRISTINE DIANE COOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71008083A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28193125A) |
Enumeration Date | 2018-08-07 |
Last Update Date | 2020-12-18 |