NPI | 1659809572 |
---|---|
Former Name | CALIN BAILY COCHRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002253A) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-05-23 |
Last Update Date | 2024-02-09 |