| NPI | 1558535781 |
|---|---|
| Former Name | KARLA HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35097568) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.097568) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2022-11-23 |