| NPI | 1629711460 |
|---|---|
| Former Name | ELISE COCKRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 558019) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 138366) |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-09-21 |