| NPI | 1982958971 |
|---|---|
| Former Name | TONI ELIZABETH COAXUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC 18031) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 18031) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2016-06-21 |