| NPI | 1972656312 |
|---|---|
| Former Name | MELISSA LYNN COOPER-TRACHTENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9101170) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |