| NPI | 1457603474 |
|---|---|
| Former Name | KATE E. COUGHLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA 0A003217) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110004036) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2020-06-08 |