| NPI | 1225261779 |
|---|---|
| Other Name | SHANNON COOPER COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003296) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A03296) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP130912) | |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2021-09-08 |