| NPI | 1922680297 |
|---|---|
| Former Name | NICOLE SZTOKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2021014783) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-78784-092) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2023-04-27 |