| NPI | 1356349179 |
|---|---|
| Former Name | DIANE L COPPOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: SD 3372) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IA 30779) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MN 46498) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX H0264) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NE 23178) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2014-08-25 |