| NPI | 1093324873 |
|---|---|
| Former Name | KAITLIN JEANNE HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CT 008994) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: CT 008994) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2022-11-18 |