| NPI | 1487371357 |
|---|---|
| Former Name | MARY KATHERINE COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: TN 32639) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 32639) |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2023-04-04 |