| NPI | 1568963908 |
|---|---|
| Former Name | COURTNEY RENEE COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-172358) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 1-172358) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 902512) | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2020-12-03 |