NPI | 1427240290 |
---|---|
Former Name | HEATHER COOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007631) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 110619) |
363LF0000X Nurse Practitioner, Family (Licence: NE 110619) | |
363LF0000X Nurse Practitioner, Family (Licence: FL TPAN2790) | |
Enumeration Date | 2007-08-15 |
Last Update Date | 2024-11-19 |