| NPI | 1548447840 |
|---|---|
| Former Name | NIKITA NICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 11595) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN11595) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2023-02-02 |