| NPI | 1447977129 |
|---|---|
| Former Name | ANNA CLAIRE COFFEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: LA 338325) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2023-10-10 |