NPI | 1184967044 |
---|---|
Former Name | JOY ELAINE HAZLETON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0057504) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0057504) |
Enumeration Date | 2013-03-29 |
Last Update Date | 2019-10-30 |