| NPI | 1194977454 |
|---|---|
| Former Name | ALFREDA HAWKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 29079) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 29079) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2024-11-07 |