NPI | 1497013916 |
---|---|
Former Name | CHRISTINA HICKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP143266) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 52906) |
367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN511497L) | |
Enumeration Date | 2012-05-03 |
Last Update Date | 2019-12-10 |