| NPI | 1598439002 |
|---|---|
| Former Name | DANIELLE COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11030160) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014848) |
| Enumeration Date | 2021-08-07 |
| Last Update Date | 2024-02-22 |