| 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 |