| NPI | 1508162306 |
|---|---|
| Former Name | SHIRLEY COFFIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R174469) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024169024) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2021-09-08 |