| NPI | 1427494095 |
|---|---|
| Former Name | MIRA A COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MN 58088) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 58088) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2020-09-30 |