| NPI | 1528447091 |
|---|---|
| Former Name | ERIN NICKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2019-01410) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: NC 2019-01410) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 38203) | |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2021-04-19 |