| NPI | 1376310052 |
|---|---|
| Other Name | TASHEKIA KADEEN COULSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11024082) |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |