| NPI | 1750754339 |
|---|---|
| Former Name | JENIFER COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471M2300X Radiologic Technologist, Mammography |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |