| NPI | 1265760102 |
|---|---|
| Former Name | REBECCA NICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP000582) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R032447) |
| 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: SD CS004119) | |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2016-05-25 |