| NPI | 1033100391 |
|---|---|
| Former Name | FELICIA C HAWTHORNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C02031) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA30070) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2014-04-10 |