| NPI | 1902491061 |
|---|---|
| Former Name | NICOLE M MASSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 253472) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 253472) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2022-10-11 |