NPI | 1437518941 |
---|---|
Former Name | MARGARET MARIE NICHOLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 124383) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173244) |
Enumeration Date | 2016-02-12 |
Last Update Date | 2019-11-01 |