| NPI | 1831439108 |
|---|---|
| Former Name | NICOLE R NABB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WY PA590) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 1722) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2022-09-19 |