NPI | 1528744273 |
---|---|
Former Name | ELIZABETH COCHRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-180673) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AL 1-180673) |
Enumeration Date | 2023-06-27 |
Last Update Date | 2023-11-27 |