| NPI | 1114218492 |
|---|---|
| Former Name | DEMAURA KENET HAWKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2013-01723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-01723) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2021-02-02 |