NPI | 1912403924 |
---|---|
Former Name | CASSANDRA SHEREAN COLEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A174552) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-17568) |
207RI0200X Internal Medicine, Infectious Disease (Licence: AR E-17568) | |
Enumeration Date | 2018-03-30 |
Last Update Date | 2025-01-10 |