| NPI | 1457328080 |
|---|---|
| Former Name | DIANA CAROL HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101227826) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: VA 0101227826) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2025-04-04 |