NPI | 1063925857 |
---|---|
Former Name | MONICA JO COLEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KY 3011797) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KY 3011797) |
Enumeration Date | 2017-11-15 |
Last Update Date | 2024-09-14 |