| NPI | 1184018681 |
|---|---|
| Former Name | NICOLE SARA MANDEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S1290) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME148432) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2022-09-01 |