NPI | 1184100067 |
---|---|
Former Name | NICOLE MARIE BRICKLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 085982-23) |
Enumeration Date | 2018-07-13 |
Last Update Date | 2024-12-10 |