| NPI | 1780294413 |
|---|---|
| Former Name | NICOLE RENEE TRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NE 395) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: NE 395) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2023-09-11 |