| NPI | 1326004946 |
|---|---|
| Other Name | DIANA NICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3002015) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3002015) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2023-11-02 |