| NPI | 1386799583 |
|---|---|
| Former Name | AMANDA MEGAN COFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TN 2129) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN DO2129) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2022-03-18 |