| NPI | 1346340155 |
|---|---|
| Former Name | JULIE LIDA COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30006928) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30006928) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2017-01-03 |