NPI | 1689029852 |
---|---|
Professional Name | NICOLE Y COPPAGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60964584) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60964584) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: WA ML60677475) | |
Enumeration Date | 2016-04-25 |
Last Update Date | 2021-03-12 |