NPI | 1487851168 |
---|---|
Other Name | MEGAN ANNETTE HICKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX P5738) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2007015916) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2010017750) | |
Enumeration Date | 2007-06-27 |
Last Update Date | 2013-05-23 |