NPI | 1356695373 |
---|---|
Former Name | NICOLE MARIE GARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 22152) |
Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CA 3821) |
Enumeration Date | 2012-10-29 |
Last Update Date | 2012-10-29 |