NPI | 1336154186 |
---|---|
Former Name | CHELSEA M COAKLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 011431) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 11431) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2023-05-15 |