NPI | 1356018923 |
---|---|
Other Name | CRISTI MARIE COBURN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1049022) |
Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: TX 666334) |
Enumeration Date | 2021-08-23 |
Last Update Date | 2021-12-08 |