NPI | 1528441383 |
---|---|
Former Name | EMILY NICHOLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128370) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 769847) |
Enumeration Date | 2015-06-29 |
Last Update Date | 2021-07-26 |