| NPI | 1609255991 |
|---|---|
| Former Name | NICOLE GROGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA MD-45024) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-45024) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2022-10-07 |