NPI | 1760489561 |
---|---|
Former Name | YAPHEH HAWKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301046510) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX L8633) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2020-10-14 |