| NPI | 1447628995 |
|---|---|
| Former Name | ERICA BEATTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP128261) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128261) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2021-04-14 |