| NPI | 1720018005 |
|---|---|
| Former Name | VICTORIA COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F330892) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F330892) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2015-01-22 |