| NPI | 1962727255 |
|---|---|
| Former Name | MAGGIE E NICHOLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 14861) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 14861) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2025-01-24 |