| NPI | 1568646057 |
|---|---|
| Former Name | NICOLE M COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 55037) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 52838) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 232221) | |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2021-07-05 |