| NPI | 1437918471 |
|---|---|
| Former Name | COLLEEN COORS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-10-08 |