| NPI | 1558799163 |
|---|---|
| Other Name | NIKKI WADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP124501) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 674828) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2022-10-24 |