| NPI | 1609967207 |
|---|---|
| Former Name | NOELLE ANNE NIELSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 51308) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME TD979) |
| 208000000X Pediatrics (Licence: ID M7208) | |
| 208000000X Pediatrics (Licence: WA MD00042543) | |
| 208000000X Pediatrics (Licence: OR 18874) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-03-26 |