| NPI | 1215398037 |
|---|---|
| Former Name | ANDREA MICHELE NICHOLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.013262) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2018-03-19 |