| NPI | 1043511074 |
|---|---|
| Former Name | NICOLE POTVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN279775) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN279775) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2022-04-20 |