| NPI | 1790177608 |
|---|---|
| Former Name | KATRINA COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL ARNP9293674) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2016-03-01 |