NPI | 1720732761 |
---|---|
Former Name | HAYLEY COCHRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11015339) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11015339) |
Enumeration Date | 2022-02-08 |
Last Update Date | 2022-04-15 |