NPI | 1922126150 |
---|---|
Former Name | SHARON JEAN HICKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000006098) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000071386) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2015-10-30 |