NPI | 1639690571 |
---|---|
Former Name | ESTHER HAWKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77370-052) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017009931) |
Enumeration Date | 2017-06-30 |
Last Update Date | 2022-01-07 |