| NPI | 1639490998 |
|---|---|
| Former Name | NICOLE ARLENE OLDHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H107178) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H107178) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2022-10-01 |