NPI | 1013255918 |
---|---|
Former Name | LISBETH A GOBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA NPPA027041) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA UP002030D) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA UP002030D) | |
Enumeration Date | 2013-01-28 |
Last Update Date | 2020-08-21 |