| NPI | 1972025674 |
|---|---|
| Former Name | REGINA DEINSE HAWKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308511) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F308511) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AL AG02170125) | |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2020-01-21 |