| NPI | 1700398666 |
|---|---|
| Former Name | TABATHA COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009930A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28186169A) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2023-09-08 |