| NPI | 1063810216 |
|---|---|
| Former Name | NICOLE ERRIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704303156) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704303156) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MI 4704303156) | |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2015-03-10 |