| NPI | 1134387830 |
|---|---|
| Former Name | COLLEEN E JAMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102202851) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 37742) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2020-12-07 |