| NPI | 1093155673 |
|---|---|
| Former Name | CYNTHIA K. HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.14572) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH RN.288485-COA 1) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2024-08-20 |