| NPI | 1659046332 |
|---|---|
| Other Name | NICOLE F RIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11215-033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 228621) |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2022-01-26 |