| 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 |