NPI | 1942605050 |
---|---|
Former Name | HANNAH TOY COCKRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008989) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008989) |
Enumeration Date | 2014-10-31 |
Last Update Date | 2015-02-27 |