| NPI | 1033858030 |
|---|---|
| Former Name | LISA MARIE HAWKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: VA 0024190067) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: VA 0001140804) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2026-04-28 |