NPI | 1013465152 |
---|---|
Former Name | NICOLE SETSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71006648A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28203112A) |
Enumeration Date | 2016-09-19 |
Last Update Date | 2021-09-20 |