NPI | 1922392638 |
---|---|
Former Name | ANNA CHRISTINA HICKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OR 200540739RN) |
Enumeration Date | 2011-05-31 |
Last Update Date | 2011-05-31 |