| NPI | 1700021458 |
|---|---|
| Former Name | MELINDA MARIE COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV WV66298) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2009-04-07 |