| NPI | 1912519471 |
|---|---|
| Former Name | NICOLE SIBULO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NV 832739) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2023-10-02 |