| NPI | 1780815480 |
|---|---|
| Former Name | NICOLE LOUIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305199) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 305199) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2020-03-14 |