| NPI | 1518262567 |
|---|---|
| Former Name | KRISTA HAWKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11013) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN162796) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2023-05-04 |