| NPI | 1336529213 |
|---|---|
| Former Name | ELIZABETH KIMBELL GOODMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MT208151) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT208151) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2019-07-22 |