| NPI | 1114556370 |
|---|---|
| Former Name | BOBIE JO COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-16783) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2024-04-23 |