| NPI | 1275125486 |
|---|---|
| Former Name | GAYLE NICOLE COFFMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3015872) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 59331) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2023-02-16 |