NPI | 1962002717 |
---|---|
Former Name | CAYLEE CARIN COOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024-179491) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 202017222) |
363L00000X Nurse Practitioner (Licence: VA 0024117949) | |
Enumeration Date | 2020-10-30 |
Last Update Date | 2024-03-28 |