| NPI | 1033676366 |
|---|---|
| Former Name | JUDITH RACHEL COFFEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309036) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421380) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2024-10-21 |