NPI | 1255377677 |
---|---|
Former Name | LORRAINE DENISE GOODAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY ARNP 3309P) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003309) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2020-10-23 |