| NPI | 1467683623 |
|---|---|
| Former Name | NICHOLE BADGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1710I1003X Military Health Care Provider Independent Duty Medical Technicians |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2010-07-22 |