NPI | 1710288576 |
---|---|
Former Name | JUSTINE M COOPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 170300000X Genetic Counselor, MS |
Additional Taxonomies | 170300000X Genetic Counselor, MS (Licence: KY GC011) |
Enumeration Date | 2010-11-10 |
Last Update Date | 2018-12-12 |