NPI | 1598127094 |
---|---|
Former Name | NICOLE C CRAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: OH 35.144378) |
Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: KY 56959) |
Enumeration Date | 2016-03-23 |
Last Update Date | 2023-08-31 |