NPI | 1215323357 |
---|---|
Former Name | NICHELLE IRENE WINTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 58284) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 58284) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-15 |
Last Update Date | 2024-01-10 |