NPI | 1538556816 |
---|---|
Former Name | NICOLE SPRENTALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 298912) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD474268) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-23 |
Last Update Date | 2021-06-23 |