| NPI | 1841672797 |
|---|---|
| Professional Name | NICOLE MARIE GRANBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 185784-1) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-06-26 |