| NPI | 1932389194 |
|---|---|
| Former Name | TINA COPPLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202111413NP-PP) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OR 200241926RN) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2021-11-17 |