| NPI | 1851529606 |
|---|---|
| Former Name | NICOLE STOCKER BARTRAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121755) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 793825) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2023-09-27 |