NPI | 1629417639 |
---|---|
Former Name | ALLISON K COCHRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 17794) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 187330) |
Enumeration Date | 2013-06-24 |
Last Update Date | 2013-12-13 |