NPI | 1073038584 |
---|---|
Former Name | HILLARY RUTH GOODWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP134343) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 53713) |
Enumeration Date | 2017-08-04 |
Last Update Date | 2024-09-16 |