NPI | 1952134249 |
---|---|
Former Name | NICOLE ANN BACHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 12012) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 867410) |
Enumeration Date | 2024-08-22 |
Last Update Date | 2024-11-01 |