NPI | 1174628986 |
---|---|
Former Name | CHERYL COFONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 003004) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 003004) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2018-11-05 |