| NPI | 1417266339 |
|---|---|
| Former Name | NICOLE RENEE SORTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MI 4704253054) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704253054) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2019-10-03 |