NPI | 1578099313 |
---|---|
Former Name | NOELLE A ELZAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0062968) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-05-11 |
Last Update Date | 2022-07-19 |