| NPI | 1992023535 |
|---|---|
| Former Name | JEAN A. KOPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209006848) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 363LP0200X) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2018-05-17 |