| NPI | 1497714406 |
|---|---|
| Former Name | NICOLE L BATEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI DOS-1975) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34-010324) |
| 207Q00000X Family Medicine (Licence: WI 48398) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2019-10-08 |