| NPI | 1144671645 |
|---|---|
| Former Name | NICHOLEE LANGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R37934) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 5284) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2024-09-26 |