NPI | 1164504668 |
---|---|
Other Name | REBECCA DIANE COONER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP8597) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95010004) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2023-10-06 |