| NPI | 1013203397 |
|---|---|
| Former Name | NICOLE M WAYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: WI 67666-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301101644) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2024-08-26 |