| NPI | 1497115133 |
|---|---|
| Former Name | NICOLE MARIE BARRETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS21374) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101022617) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2024-08-26 |