| NPI | 1417211707 |
|---|---|
| Former Name | NICOLE COLLEEN SMIDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A139531) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301100576) |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2017-02-28 |