| NPI | 1417305426 |
|---|---|
| Former Name | MELODY ANN NICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2008023092) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KS 14-120481-042) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |