| NPI | 1245003656 |
|---|---|
| Former Name | NICOLE GALLEGOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024188839) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001295366) |
| 163W00000X Registered Nurse (Licence: CA 95132433) | |
| 163W00000X Registered Nurse (Licence: DC RN500007826) | |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2024-08-07 |