| NPI | 1649040908 |
|---|---|
| Former Name | KATE ELIZABETH NICHOLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0999415) |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |