| NPI | 1124718937 |
|---|---|
| Former Name | AMELIA COAKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 352636) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 774357) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2024-04-04 |