| NPI | 1588809743 |
|---|---|
| Former Name | ARLEE ANN WICKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11002415) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R145708-9) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2020-10-15 |