| NPI | 1720245392 |
|---|---|
| Former Name | NICKIE NIFORATOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: DC MD037013) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD037013) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2014-07-15 |