| NPI | 1124501283 |
|---|---|
| Former Name | NIKKI HERTEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 13140) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 233588) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2024-01-15 |