| NPI | 1639188220 |
|---|---|
| Former Name | MARQUITA N HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2018-02319) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301082695) |
| 207P00000X Emergency Medicine (Licence: AL MD.28433) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-02-12 |