| NPI | 1295187870 |
|---|---|
| Former Name | NIKKI LAUREN GILLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP131754) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11036991) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2025-01-23 |