| NPI | 1811914633 |
|---|---|
| Former Name | VICTORIA D COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: CO APN.0002782-CNS) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CO 176136) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2016-05-10 |