NPI | 1215961198 |
---|---|
Former Name | NICOLE MAUREEN PARADISE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME93613) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME93613) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2023-10-23 |