| NPI | 1124274147 |
|---|---|
| Former Name | NOELLE LAUREN NUGENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 263668) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MA 263668) |
| 208600000X Surgery (Licence: MA 263668) | |
| Enumeration Date | 2008-08-10 |
| Last Update Date | 2024-04-10 |