| NPI | 1710113089 |
|---|---|
| Former Name | NICOLE M SOSA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME 104043) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME104043) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2022-02-15 |