| NPI | 1457009839 |
|---|---|
| Former Name | SAMANTHA DAWN HICKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 5015872) |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-06-16 |