| NPI | 1720048317 |
|---|---|
| Former Name | NICOLE LYNN LYNCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 1563) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN 1574425) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2022-10-21 |