NPI | 1811084346 |
---|---|
Other Name | KIMBERLY HAWKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110001992) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-01608) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2025-10-10 |