| NPI | 1124768908 |
|---|---|
| Former Name | NICOLE LARA TINSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NH 071611-21) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 071611-23) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2025-12-29 |