| NPI | 1447847835 |
|---|---|
| Former Name | NICOLE DIANE RICKARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022774) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN675705) |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2020-12-31 |