| NPI | 1548219918 |
|---|---|
| Former Name | STEPHANIE A HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0994601-CRNA) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704226066) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2026-02-17 |