| NPI | 1306540455 |
|---|---|
| Former Name | NICOLE HODAPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 125.082473) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-06-14 |