| NPI | 1740471812 |
|---|---|
| Former Name | PAMELA DEMETRICE COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9205766) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 21242) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2023-12-06 |