NPI | 1750778858 |
---|---|
Other Name | NICOLE MARIE NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD191129) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 210008) |
Enumeration Date | 2015-04-16 |
Last Update Date | 2022-11-03 |