| NPI | 1205287612 |
|---|---|
| Former Name | NICHELLE E WISKIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7013-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 150742-30) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |