NPI | 1154956068 |
---|---|
Former Name | COURTNEY COIT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014145) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95014145) |
Enumeration Date | 2020-03-11 |
Last Update Date | 2022-10-19 |