| NPI | 1649775412 |
|---|---|
| Former Name | BELLAMY CLARISSA HAWKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AL PA.1325) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AL PA.1325) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2020-01-23 |