| NPI | 1053606137 |
|---|---|
| Other Name | JENNA MARIE HAWKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD167429) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML 60225319) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2019-01-21 |