| NPI | 1043090103 |
|---|---|
| Former Name | JENNIFER RUTH COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 216100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0130893) |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2024-01-09 |