NPI | 1235651647 |
---|---|
Former Name | NICOLE MARIE LABIANCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007188A) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71007188A) |
Enumeration Date | 2017-07-07 |
Last Update Date | 2025-10-16 |