NPI | 1285910935 |
---|---|
Former Name | SARA E. GOEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002628) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704234853) |
Enumeration Date | 2011-10-26 |
Last Update Date | 2020-09-16 |