NPI | 1811290216 |
---|---|
Former Name | JACQUELINE COTTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-008277) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 209008277) |
Enumeration Date | 2010-12-07 |
Last Update Date | 2021-05-03 |