| NPI | 1114289238 |
|---|---|
| Former Name | DANIELLE RAE COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005657) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5005657) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2025-10-21 |