| NPI | 1891077665 |
|---|---|
| Former Name | JEAN MARIE COULTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012127) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R161319) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2012-07-19 |