| NPI | 1912781626 |
|---|---|
| Former Name | NICHOLE BRENAYE TURPIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OR 10000053) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-23 |