| NPI | 1700323227 |
|---|---|
| Former Name | NICOLE M SALLEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005896) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95005896) |
| Enumeration Date | 2017-01-22 |
| Last Update Date | 2024-12-13 |