NPI | 1023130200 |
---|---|
Former Name | LAURA JEAN COOPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD476593) |
Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD12108) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2022-12-23 |