| NPI | 1598156333 |
|---|---|
| Former Name | DAYNE MARIE NICHOLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.16261) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.16261-NP) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2024-09-11 |