| NPI | 1194987545 |
|---|---|
| Former Name | STACIE LEIGH GOOCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: AZ 7640) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20A12270) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2020-10-26 |