| NPI | 1134398746 |
|---|---|
| Former Name | NICOLE CATHERINE MCCORMICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.123544) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA MD60358087) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2020-11-22 |