| NPI | 1407020977 |
|---|---|
| Other Name | TYSHANTRA CELESTIN COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T3756) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 63182) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2022-07-21 |