| NPI | 1821704271 |
|---|---|
| Other Name | ANNA LORRAINE HICKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-097946) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2025-01-23 |