NPI | 1265812804 |
---|---|
Former Name | NICHOLE ANN ACKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01080325A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125067378) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01080325A) | |
Enumeration Date | 2015-06-08 |
Last Update Date | 2021-07-29 |