| NPI | 1659535466 |
|---|---|
| Former Name | NIKKI RYAN MERREL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: TMS) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 146M00000X Emergency Medical Technician, Intermediate | |
| 171000000X Military Health Care Provider | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2022-07-21 |