| NPI | 1306401559 |
|---|---|
| Former Name | NICOLE D. URSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2020025034) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9112173) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2022-01-08 |