NPI | 1073928321 |
---|---|
Former Name | TANZANICCA NICOLE COFFEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 189296) |
Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TN 13-472) |
Enumeration Date | 2014-06-25 |
Last Update Date | 2014-06-25 |