| NPI | 1649431354 |
|---|---|
| Former Name | AMY COOKRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 6046) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN12295) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2020-09-23 |