| NPI | 1366187130 |
|---|---|
| Former Name | KATIE COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019579) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 820912) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-10-12 |