| NPI | 1669975918 |
|---|---|
| Former Name | NICOLE A BARUCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 321500) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.015045) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2024-04-26 |