NPI | 1508207291 |
---|---|
Former Name | KAMEKA F HICKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123533) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 692314) |
Enumeration Date | 2013-07-10 |
Last Update Date | 2024-10-02 |