NPI | 1619516614 |
---|---|
Former Name | ANNA CHRISTINE COOPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 13130) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 13130) |
363A00000X Physician Assistant (Licence: WI 4958-23) | |
Enumeration Date | 2019-12-23 |
Last Update Date | 2024-02-21 |