| NPI | 1699904706 |
|---|---|
| Former Name | LORETTA B COWAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 14205) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN 14205) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2018-01-23 |