NPI | 1790045110 |
---|---|
Former Name | NIKOLE KATHERINA METCALF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11180400) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2016-00718) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-05-18 |
Last Update Date | 2021-10-01 |