| NPI | 1700377173 |
|---|---|
| Former Name | CHRISTIE NICOLE VINCENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9281789) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |