| NPI | 1245748474 |
|---|---|
| Former Name | ERICA FAYE GALLOWAY, JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137141) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-83376) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03494) | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2021-07-21 |