| NPI | 1922668045 |
|---|---|
| Former Name | ELISE JEANNE COLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN270340) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 662914) |
| 163W00000X Registered Nurse (Licence: GA RN270340) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1142371) | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2024-08-16 |