| NPI | 1720312820 |
|---|---|
| Former Name | NICOLE MARIE SORCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 1004345) |
| Additional Taxonomies | 132700000X Dietary Manager |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |