| NPI | 1568869014 |
|---|---|
| Former Name | MAUREEN LOUISE HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 828306) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2297670) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 2297670) | |
| Enumeration Date | 2014-11-28 |
| Last Update Date | 2023-11-13 |