| NPI | 1376637918 |
|---|---|
| Former Name | BONNIE SUE COYLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: NC 2020-00968) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: PA MD055123-L) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NC 2020-00968) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-06-08 |