| NPI | 1356903637 |
|---|---|
| Former Name | CARRIE COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209020123) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.385417) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2024-04-26 |