| NPI | 1942411582 |
|---|---|
| Former Name | NICOLE ROUDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP009621) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: PA RN528766L) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2014-01-02 |