| 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 |