| 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 | 2022-10-12 |