| NPI | 1801496542 |
|---|---|
| Former Name | NICOLE REBECCA EKSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2317211) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MA RN2317211) |
| 363L00000X Nurse Practitioner (Licence: MA RN2317211) | |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2023-10-09 |