| NPI | 1285257725 |
|---|---|
| Former Name | KATIE NICOLE GOSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VT 101-0135537) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2339427) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2024-08-02 |