| NPI | 1437518529 |
|---|---|
| Former Name | KATHLEEN COFFIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0006760) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 3516) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2021-11-08 |