NPI | 1194567636 |
---|---|
Former Name | NICOLE PATRICIA KARR (ALSO NICOLE SMITH) |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10027447) |
Enumeration Date | 2024-06-06 |
Last Update Date | 2024-06-06 |