NPI | 1366110702 |
---|---|
Former Name | ANITA FERNANDES HAWKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 320568) |
Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: AZ RN199270) |
Enumeration Date | 2021-09-01 |
Last Update Date | 2025-02-25 |