NPI | 1649248964 |
---|---|
Former Name | JOY MARIE COBURN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP3244722) |
Enumeration Date | 2006-03-11 |
Last Update Date | 2017-07-12 |