| NPI | 1023093986 |
|---|---|
| Former Name | WENDY HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 2580) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OK 4346) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2016-12-06 |