NPI | 1306226246 |
---|---|
Former Name | HAILEY ELAINE WOUTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-147234) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036147234) |
Enumeration Date | 2015-06-05 |
Last Update Date | 2022-07-11 |