NPI | 1821054495 |
---|---|
Former Name | JULIE CLAIRE HICKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 44871) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 141249) |
163W00000X Registered Nurse (Licence: KS 70980) | |
163W00000X Registered Nurse (Licence: MO 141249) | |
Enumeration Date | 2006-04-24 |
Last Update Date | 2016-06-23 |