NPI | 1124373121 |
---|---|
Former Name | DARLENE GOOLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.13526) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 13526NP) |
Enumeration Date | 2012-07-17 |
Last Update Date | 2024-10-12 |