NPI | 1306496179 |
---|---|
Former Name | BRITTNEY ANGELLE GOODWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11003987) |
Enumeration Date | 2019-09-13 |
Last Update Date | 2023-04-12 |