| NPI | 1700279296 |
|---|---|
| Former Name | NICOLE ELIZABETH WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: GA RN211300) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2024-10-14 |