| NPI | 1225194178 |
|---|---|
| Former Name | JULIE RENEE COFFMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS013781) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS013781) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2011-06-21 |