| NPI | 1912170598 |
|---|---|
| Former Name | NICOLE MARIE WAKIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127642) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A98851) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2023-12-18 |