| NPI | 1093742603 |
|---|---|
| Former Name | JESSICA S COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A97096) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 47182) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-09-28 |