| NPI | 1366860876 |
|---|---|
| Former Name | ELIZABETH HIATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036143412) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2018-07-20 |