NPI | 1063560795 |
---|---|
Former Name | KATHLEEN J GOEBEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH NP-01362) |
Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: OH 123771) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2024-02-26 |