| NPI | 1366805715 |
|---|---|
| Former Name | KASA BLAINE COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 87454-20) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AR E-15247) |
| 207X00000X Orthopaedic Surgery (Licence: KY 56387) | |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2026-07-02 |