NPI | 1851863252 |
---|---|
Former Name | BRANNAN D COBAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008706A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN F10181240) |
Enumeration Date | 2018-12-23 |
Last Update Date | 2023-05-15 |