NPI | 1982017968 |
---|---|
Former Name | NICOLE ELIZABETH BIERIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-16119) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-58693) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-06-06 |
Last Update Date | 2024-03-20 |