| NPI | 1386791051 |
|---|---|
| Former Name | WYKEISHA LATRICE COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN196899) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP3635) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APN000927) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61419176) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2023-03-22 |