NPI | 1508181157 |
---|---|
Former Name | NICOLE MARIE ZANIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A119703) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-04-06 |
Last Update Date | 2015-07-21 |