| NPI | 1902243298 |
|---|---|
| Former Name | CAMILLE NICOLE COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 22984) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 8512355-1206) |
| 363A00000X Physician Assistant (Licence: PA MA056088) | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2022-12-06 |