| NPI | 1447869698 |
|---|---|
| Former Name | NICOLE RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 197099) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2024-10-30 |