| NPI | 1225295215 |
|---|---|
| Former Name | ALICIA KATHRYN COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TN 2279) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 2779) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2016-07-29 |