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 | 208600000X Surgery (Licence: MA 263668) |
2086S0127X Surgery, Trauma Surgery (Licence: MA 263668) | |
Enumeration Date | 2008-08-10 |
Last Update Date | 2024-10-30 |