| NPI | 1528153293 |
|---|---|
| Former Name | MARY KATHERINE COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024093340) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0017001073) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0001093340) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-11-24 |