| NPI | 1902204258 |
|---|---|
| Former Name | NIKKI LASHAY DEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-126856) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9382341) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2017-01-25 |