| NPI | 1225339252 |
|---|---|
| Former Name | PAMELA SUE COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN5195624) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 263877) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |