| NPI | 1568813764 |
|---|---|
| Former Name | ELIZABETH ELLEN COUGHLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME140668) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME140668) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN23530) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2022-10-11 |