| NPI | 1649920588 |
|---|---|
| Former Name | NICOLE JAMANDRON SANTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036176438) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2025-09-05 |