| NPI | 1336557883 |
|---|---|
| Former Name | ASHLEY NICOLE COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: KY PA1907) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA1907) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2015-09-18 |