| NPI | 1700360492 |
|---|---|
| Former Name | NICOLE ELIZABETH GAPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6156) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 6156) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2019-06-14 |