| NPI | 1861755928 |
|---|---|
| Former Name | NICHOLE ELIZABETH HOUGHTLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R191254) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2014-12-11 |