NPI | 1275641060 |
---|---|
Former Name | NICOLE L PERDUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD26801) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD26801) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2017-03-30 |