| NPI | 1245325729 |
|---|---|
| Former Name | TERESA MARGARET HAWKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101056263) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI MD16461) |
| 207Q00000X Family Medicine (Licence: NC 2018-02747) | |
| 207Q00000X Family Medicine (Licence: IN 01081424A) | |
| 207Q00000X Family Medicine (Licence: TX S0803) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-08-12 |