| NPI | 1396938999 |
|---|---|
| Former Name | NICOLE L. WEBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006307) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 127235) |
| 207P00000X Emergency Medicine (Licence: WI 127235-030) | |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2011-03-29 |