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 |