| NPI | 1275755167 |
|---|---|
| Former Name | DEBRA DENISE COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN084801) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: GA RN084801) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-03-23 |