| NPI | 1063090769 |
|---|---|
| Former Name | NICOLE MARIE URMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 104477) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 179960) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2025-07-09 |