| NPI | 1477503621 |
|---|---|
| Former Name | HERMIEN KOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A104332) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 104332) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2021-05-13 |