NPI | 1083189294 |
---|---|
Former Name | KATELYN JO COINER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN85871) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 85871) |
Enumeration Date | 2018-10-04 |
Last Update Date | 2024-05-02 |