| NPI | 1386164473 |
|---|---|
| Former Name | NICOLE ELIZABETH WOODEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME162196) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A167426) |
| 207Q00000X Family Medicine (Licence: TX T4291) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2023-10-24 |