| NPI | 1871806851 |
|---|---|
| Former Name | STEPHANIE D NICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP119130) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 740713) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2021-11-06 |