NPI | 1700291911 |
---|---|
Former Name | HANNAH NUGENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2017037077) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036144425) |
Enumeration Date | 2014-06-25 |
Last Update Date | 2022-12-16 |