| NPI | 1578955597 |
|---|---|
| Former Name | NIKKI ERLENBUSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT NUR-APRN-LIC-100655) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 32367) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2022-06-20 |