NPI | 1265147573 |
---|---|
Former Name | MEGAN BRITTANY COOPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-135924) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AL 1-135924) |
Enumeration Date | 2023-01-20 |
Last Update Date | 2023-01-20 |