| NPI | 1053774273 |
|---|---|
| Former Name | RACHEL NICHOLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A168974) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 10483123-1205) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2021-03-12 |