| NPI | 1093869414 |
|---|---|
| Former Name | JESSICA RAE NICHOLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 005239) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 005239) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 005239) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2024-04-17 |