NPI | 1508020264 |
---|---|
Other Name | NICOLE ANDREA NORMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2011001818) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-080185) |
Enumeration Date | 2008-07-11 |
Last Update Date | 2018-10-24 |