NPI | 1518112366 |
---|---|
Former Name | MELISSA DAWN HAWKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61028239) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3006801) |
363LA2200X Nurse Practitioner, Adult Health (Licence: IN A0608358) | |
Enumeration Date | 2008-11-20 |
Last Update Date | 2024-10-17 |