| NPI | 1093311243 |
|---|---|
| Former Name | BRANDY NICOLE COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR PD13668) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: AR PD13668) |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2020-12-11 |