NPI | 1255598900 |
---|---|
Former Name | NICOLE RENEE COLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 46018) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 57.012994) |
Enumeration Date | 2008-05-20 |
Last Update Date | 2016-02-19 |