| NPI | 1134505993 |
|---|---|
| Former Name | ANGELICA LAUREN COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN215693) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22593) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2023-08-10 |