| NPI | 1093943144 |
|---|---|
| Former Name | DEBORAH ALISON NIKODEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS14206) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2013030533) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 5101018252) | |
| Enumeration Date | 2009-06-28 |
| Last Update Date | 2022-07-21 |