NPI | 1518222991 |
---|---|
Former Name | KRISTEN COCHRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 723814) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 723814) |
Enumeration Date | 2012-07-11 |
Last Update Date | 2019-09-13 |