NPI | 1235379074 |
---|---|
Former Name | AMELIA ELIZABETH GOINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005965) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3005965) |
363LW0102X Nurse Practitioner, Women's Health (Licence: KY 5965P) | |
Enumeration Date | 2009-03-05 |
Last Update Date | 2024-06-21 |