| NPI | 1366439598 |
|---|---|
| Other Name | CAROL ANN COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 25536 0932) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2010-09-24 |