| NPI | 1700180783 |
|---|---|
| Former Name | NICOLE LEIGH THORNBURG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 70178) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2016-02-05 |