| NPI | 1487618203 | 
|---|---|
| Former Name | TERRIE ANN COOPER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP113436)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 243809)  | 
| Enumeration Date | 2006-04-17 | 
| Last Update Date | 2018-09-04 |