NPI | 1578659231 |
---|---|
Former Name | NICHOLE OLEKOSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 121351) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH RT-1557) |
207R00000X Internal Medicine (Licence: FL ME121351) | |
207R00000X Internal Medicine (Licence: CT 047931) | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2019-01-10 |