| NPI | 1285186163 |
|---|---|
| Former Name | NICOLE FIVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95004876) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 95004876) |
| 163WE0003X Registered Nurse, Emergency (Licence: CA 834973) | |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2018-12-06 |