| 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 |