| NPI | 1275845547 |
|---|---|
| Former Name | NICOLE OLIVIA ENGSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R31921) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2015-03-02 |