| 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 |