| NPI | 1891275228 |
|---|---|
| Former Name | TOMMI JEAN COOKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202215578) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 26127) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2020-11-24 |