| NPI | 1154748556 |
|---|---|
| Former Name | NICOLE MONIQUE CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171598) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024171598) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2023-12-29 |