| NPI | 1053558932 |
|---|---|
| Former Name | COLLEEN O'DONNELL COUGHLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2013021231) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2013021231) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2021-01-15 |