| 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 |