| NPI | 1992388060 |
|---|---|
| Former Name | PAMELA DENISE COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95017697) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 548317) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-09-29 |