NPI | 1790103042 |
---|---|
Former Name | RYANN COFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101024835) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MI 5101024835) |
Enumeration Date | 2014-04-03 |
Last Update Date | 2021-03-18 |