NPI | 1679936397 |
---|---|
Former Name | MORGAN L COLEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX S2262) |
Additional Taxonomies | 2080H0002X (Licence: TX S2262) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-30 |
Last Update Date | 2024-02-09 |