| NPI | 1790124436 |
|---|---|
| Former Name | AMY ELIZABETH COAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101277755) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: NC 201601384) | |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2023-05-31 |