NPI | 1386804169 |
---|---|
Former Name | SHARIE CAMILLE COOPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME113440) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036123687) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME113440) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125052044) | |
Enumeration Date | 2008-06-14 |
Last Update Date | 2024-10-15 |