| NPI | 1497896955 |
|---|---|
| Former Name | NICOLE M. BRAUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 4863-33) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 137222-030) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.009060) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2018-08-08 |