NPI | 1255653259 |
---|---|
Former Name | JADA LYNN COLEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN175420) |
Enumeration Date | 2010-02-18 |
Last Update Date | 2023-09-28 |