| NPI | 1881875185 |
|---|---|
| Former Name | NICHOLE SUZANNE MEISSNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A90718) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA A90718) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2018-07-19 |