| NPI | 1861574121 |
|---|---|
| Former Name | ELIZABETH ANN COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 12283) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 151854) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2024-05-15 |