NPI | 1699094722 |
---|---|
Former Name | ELIZABETH CLARE HASSEBROEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 29947) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R-8891) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 106791) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 56906) | |
Enumeration Date | 2010-05-28 |
Last Update Date | 2017-03-28 |