NPI | 1316432172 |
---|---|
Former Name | CHRISTOPHER JAMES GOISSE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R236682) |
Enumeration Date | 2018-06-25 |
Last Update Date | 2025-08-19 |