NPI | 1740200765 |
---|---|
Professional Name | NICHELL TIDWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IL 036086376) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036086376) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2020-04-29 |