| NPI | 1912951351 |
|---|---|
| Former Name | NICOLE DOAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9305757) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F334267-1) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2016-11-09 |