| NPI | 1831597509 |
|---|---|
| Former Name | AUDREY E COPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA057334) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003444) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2024-01-26 |