| NPI | 1356660591 |
|---|---|
| Former Name | KARLA M HICKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000516) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0000516) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-12-20 |