| 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 |