| NPI | 1912201039 |
|---|---|
| Former Name | TARYN E HICKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN15431) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN148026) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2021-09-29 |