| NPI | 1699182337 |
|---|---|
| Former Name | AMY MICHELLE NICHOLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008746) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008746) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2023-01-09 |