NPI | 1235342007 |
---|---|
Former Name | MORGAN LYNN COOPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT002353) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 1162) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2012-09-25 |