NPI | 1497008643 |
---|---|
Former Name | JANET M BRADSTREET-COOPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: FL ARNP 9273875) |
Enumeration Date | 2012-10-24 |
Last Update Date | 2013-01-17 |