NPI | 1659692440 |
---|---|
Former Name | PRINCESS NICOLE THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: AL 35024) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-06-16 |
Last Update Date | 2022-09-12 |