| NPI | 1841533296 |
|---|---|
| Former Name | NICOLE BRITTANY EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08291) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA200001824) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2024-12-01 |