| NPI | 1134148521 |
|---|---|
| Professional Name | JENNIFER MARIE GOFORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 10602) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-02-20 |