| NPI | 1073697546 |
|---|---|
| Former Name | AMY GOODWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3004138) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 4138P) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2019-01-23 |