| NPI | 1346075652 |
|---|---|
| Former Name | NICOLE MICHELLE CARLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND 201399) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL 9579185) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2025-08-27 |