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) |
Enumeration Date | 2016-07-07 |
Last Update Date | 2021-11-16 |