| NPI | 1689193088 |
|---|---|
| Former Name | ERICCA LASHAE CALDWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23497) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP135115) |
| Enumeration Date | 2017-09-17 |
| Last Update Date | 2018-04-09 |