| NPI | 1477515518 |
|---|---|
| Other Name | DARCY NICOLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD c0003115) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: PA C0003115) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2021-09-17 |