| NPI | 1861686040 |
|---|---|
| Former Name | ELIZABETH NICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 5924) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010502) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2024-06-03 |