| NPI | 1376000653 |
|---|---|
| Former Name | SYDNEY H NICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0005707) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085007228) |
| 363A00000X Physician Assistant (Licence: MA PA100351) | |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2025-10-22 |