| NPI | 1881099463 |
|---|---|
| Former Name | NICOLE CHRISTINA BECKHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001505) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013918) |
| Enumeration Date | 2014-10-25 |
| Last Update Date | 2023-05-21 |