| NPI | 1124502273 |
|---|---|
| Former Name | NICOLE ANGELINA RICCI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 220086) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN161920) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2021-06-16 |