| NPI | 1811861982 |
|---|---|
| Former Name | KAILEY COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10061029) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OR 201340223RN) |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2026-06-29 |