| NPI | 1306808340 |
|---|---|
| Former Name | MICHEL LYNN COONLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJOO1033800) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00103800) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2018-09-25 |