NPI | 1700621562 |
---|---|
Former Name | JOSS L NICHOLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704312837) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704312837) |
363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704312837) | |
Enumeration Date | 2024-06-25 |
Last Update Date | 2025-04-10 |