NPI | 1265530869 |
---|---|
Former Name | JEANNINE MARIE HAWLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 00031952N3) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30007428) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-08 |