| NPI | 1801281670 |
|---|---|
| Former Name | ELIZABETH HAZLEHURST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10002453A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA11481) |
| 363A00000X Physician Assistant (Licence: AL PA-1038) | |
| 363A00000X Physician Assistant (Licence: IN 10002453A) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-05-23 |