| NPI | 1235642471 |
|---|---|
| Former Name | NICOLE LYNN VANCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0993683) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN160526) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2018-03-01 |