NPI | 1184967044 |
---|---|
Former Name | JOY ELAINE HAZLETON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CA A174733) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0057504) |
Enumeration Date | 2013-03-29 |
Last Update Date | 2025-06-25 |