| NPI | 1144685017 |
|---|---|
| Other Name | NICOLE L CHAMPION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 801174) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP129138) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2024-09-20 |