NPI | 1194816116 |
---|---|
Former Name | LISA RENE GOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 7467) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209019984) |
367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3003751) | |
Enumeration Date | 2006-09-27 |
Last Update Date | 2025-06-09 |