| NPI | 1588865174 |
|---|---|
| Former Name | ASHLEIGH MICA HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D71079) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2011-10-11 |