| NPI | 1669623401 |
|---|---|
| Former Name | MICHELLE MINA-FAY COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME99789) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2009-01-08 |