| NPI | 1790048759 |
|---|---|
| Former Name | MEGAN JOANN COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.135193) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.135193) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: CO DR.0056952) | |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2020-10-27 |