NPI | 1841429602 |
---|---|
Former Name | NICOLE MARIE LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IN 01077247A) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS T2215) |
207V00000X Obstetrics & Gynecology (Licence: MS 22580) | |
Enumeration Date | 2009-07-14 |
Last Update Date | 2022-08-22 |