| NPI | 1821408493 |
|---|---|
| Former Name | JENNIFER M. COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.153271.MEDS-IV) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.153271-M-IV) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2022-07-21 |