NPI | 1922275346 |
---|---|
Former Name | TRENIECE MARIE NICHOLAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA MD.203927) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD61678193) |
207L00000X Anesthesiology (Licence: FL ME113166) | |
Enumeration Date | 2008-05-14 |
Last Update Date | 2025-06-20 |