NPI | 1942935549 |
---|---|
Former Name | EMILY FRANCES COOKINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 11020866) |
Enumeration Date | 2022-07-19 |
Last Update Date | 2023-06-02 |