| NPI | 1407342561 |
|---|---|
| Former Name | NICOLE CROCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 73044) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 7430-851) |
| 208000000X Pediatrics (Licence: WI 7430-851) | |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2023-02-03 |