NPI | 1487920997 |
---|---|
Former Name | CALEY MARIE COULSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0055634) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-03-29 |
Last Update Date | 2018-08-24 |