| NPI | 1528441383 |
|---|---|
| Former Name | EMILY NICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-139176) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 769847) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP128370) | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2025-04-10 |