NPI | 1184939993 |
---|---|
Former Name | MAURA COULTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP018537) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LJ-0000323) |
Enumeration Date | 2010-08-17 |
Last Update Date | 2024-02-02 |