| 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 |