NPI | 1588291652 |
---|---|
Former Name | JODI MARIE COOPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: TN 77673) |
Enumeration Date | 2020-03-26 |
Last Update Date | 2020-03-26 |