| NPI | 1356754667 |
|---|---|
| Former Name | NICOLE DOREEN POWERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A150982) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2019-06-13 |