| NPI | 1962650010 |
|---|---|
| Former Name | DARA M NICELY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71002725A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28154088A) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2018-09-20 |