NPI | 1356360499 |
---|---|
Former Name | LAUREL A HAWKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60553305) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201507531NP-PP) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60553305) | |
Enumeration Date | 2006-07-19 |
Last Update Date | 2024-02-21 |