NPI | 1538592936 |
---|---|
Former Name | NICOLE MARIE SPENGLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 084117-23) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA NP234699) |
Enumeration Date | 2013-08-21 |
Last Update Date | 2021-04-29 |