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 |