| NPI | 1679916027 |
|---|---|
| Former Name | NICOLE KRISTINE SHAH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 13979) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2020-08-27 |