NPI | 1043938392 |
---|---|
Former Name | NICOLE PATRICIA WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432399) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 695945) |
Enumeration Date | 2022-08-22 |
Last Update Date | 2022-08-22 |