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 |