NPI | 1104499805 |
---|---|
Other Name | CARLY COLEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0999601-NP) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CO 1631510) |
Enumeration Date | 2021-07-20 |
Last Update Date | 2024-05-06 |