| NPI | 1326248592 |
|---|---|
| Former Name | NICHOLE LYNN JUAREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 803689) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 17282) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2011-11-09 |