NPI | 1730216185 |
---|---|
Former Name | NICOLE MARIE MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301103159) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-228328) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036122772) | |
207R00000X Internal Medicine (Licence: MI 4301103159) | |
Enumeration Date | 2007-02-27 |
Last Update Date | 2013-07-26 |