| NPI | 1003266396 |
|---|---|
| Former Name | NICOLE BAUMGARTNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS022984) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL U04866) |
| 207R00000X Internal Medicine (Licence: WA OP61241760) | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2023-08-02 |