| NPI | 1740954296 |
|---|---|
| Other Name | SHANA FRANCES NICHOLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: IN 28200689A) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2021-08-06 |