NPI | 1336193242 |
---|---|
Former Name | BEVERLY S COATES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP668232) |
Enumeration Date | 2006-05-22 |
Last Update Date | 2013-01-02 |