| 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 |