| NPI | 1609969252 |
|---|---|
| Former Name | SUZANNE MARIE HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL 28000) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-09-28 |