| NPI | 1376977934 |
|---|---|
| Former Name | NINA ANGELA NICHOLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP5156) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2021-06-01 |