| NPI | 1609511773 |
|---|---|
| Former Name | EMILY JANE COYNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA063642) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2023-10-19 |