| NPI | 1942370267 |
|---|---|
| Former Name | NICOLE MICHELLE BERNARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 4235) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102205539) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R8288) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 83253) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2022-06-30 |