| NPI | 1417287988 |
|---|---|
| Former Name | THERESA HAWKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 254525-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME118807) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2014-06-17 |