| NPI | 1891733390 |
|---|---|
| Former Name | SOPHIA HAZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA 20A 9288) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2024-07-17 |