NPI | 1023489382 |
---|---|
Former Name | NICOLE M HELSPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP001009) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SD CP001009) |
363LF0000X Nurse Practitioner Family (Licence: IA A141932) | |
Enumeration Date | 2015-10-13 |
Last Update Date | 2019-07-19 |