NPI | 1174149918 |
---|---|
Former Name | NICOLE LEIGH KOPEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9936) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 9936) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209-029938) | |
Enumeration Date | 2020-06-17 |
Last Update Date | 2024-07-10 |