| NPI | 1124697495 |
|---|---|
| Former Name | EMILY RAE GOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11010426) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11010426) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2023-01-10 |