| NPI | 1720595200 |
|---|---|
| Former Name | DANIELLE MARIE COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017037319) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017469) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2021-06-02 |